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Friday, October 28, 2016

CT Angiography in Acute Chest Pain.

CT angiography of the heart reduced the need for coronary angiography
from 100% to 14%. After a median follow-up of 3.3 years, there was no
significant difference in major adverse cardiac events between those
undergoing CT angiography versus those undergoing conventional coronary
angiography (4.2% vs 3.7%, p=0.86). BMJ. 2016 Oct 24;355:i5441

Comment:
This is a good use of technology: using a non-invasive study (CT
Angiography) to decrease the need for a more invasive approach. The
health benefit was a shorter hospitalization, a non-invasive approach,
with no increase (or decrease) in adverse health events over a 3-year
follow-up period.